HomeMy WebLinkAboutBLD-80-385 i, ,11)41' t03 - cl(o
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No:
_ Application for a - ermit to Build
Fee must accomp y this application P
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-
Yarmouth 4f'^' -- �[••l.•-...19.,Q
4
TO THE BOARD OF SELECTMEN •
The undersigned hereby applies for a permit to build, according to the following specifications:
1.. Name of Owner A/be rf �' .r. Sn//,,9nn ea 1/2,44;4-4 Address of .//tAithce-.e.. .tw.
nier-iousiso6rt'
2. Name of Architect (if any) /1 t/'{
3. Name of Builder Lf„ n r f-
4.
9 P /��
4. Precinct No. Lot No, .C.. /b Plan: Name or No. AM. �tr2-61le
5. Name of Stre /7'E'9T/'L-,e. .t-ANr
6. Purpose of Building t_ Side
c7�/�' f 0 x/2. $7'oRnG,E S!{/'d
7. Material tete 2.,
8. Estimated cost of building 'D 5$'ted �yas. 4,44
9: Dwelling MO
io. Cottage Mc'i I
11. Heat flee 7
12. Basement Neel e-
13. Garage Ne0e
14. Store 11/49-41t
15. Shop /i✓O _
16. No. of stories 0/0e-
17.
AJC17. Is there to be a Store In the lower storey !-i°
18. Size of Lot. No. of feet front-...lQQ No. of feet rear No, of feet deep ,
19. Size of building. No. of feet front `a' No. of feet side 90 No. of feet rear /a
20. Distance from nearest building: Front ,., c ft.; side ft,; side // ft.; rear �'
21. Distance pack from line or street Rear Yrk , from rear lot line ....L(i... side line T
Show by diagram the location of propsed building with relation to distances rom adjoin g lots, on revs eeide.
Name....all
?G 1 j
, Address a7 e4 er 4tne $'rwrov/<'ertpi4,
oa67S-
l
.
11s,
Street Name '
I
C
Leh Side Depth of Lot '/3 Y . A• ri
j v
. u Z .
LI-
- ,Ir e_ z ov
a, .
. ., ....
9. . .
. .
, .
o
8 � ) - a.
. �o U ! O
X°1'1 , .n .+-Gier .
' t
Y Right Side Depth of Lot:42P '
1
Street Name w
y
I 6
BUILDING PERMIT REVIEW
APPLIEANT: A/he' rat C 14n Ai? /fir BLDG_PERMIT NO: . _ -- ..
LOCATION OF PROPERTY:a24 //f--1n-nnr,P'-'til.. DATE FILED:
THE FOLLOWING CHECK-OFF SHEET IS DESIGNED TO CLARIFY THE PROCEDURES AN INDIVIDUAL MUST
FOLLOW IN ORDER TO OBTAIN A PERMIT TO BUILD OR ALTER A BUILDING. THE BUILDING DEPARTMENT
WILL CHECK ON THE FOLLOWING: (A) CONSERVANCY DISTRICTS (B) HISTORICAL DISTRICTS (C) FLOOD:. _ -`.
PLAINS ZONING, AND WILL BE RESPONSIBLE FOR ASSISTING:THE APPLICANT THROUGH THE FOLLOWING ;.
AGENCIES. ' ` /:
RESIDENTIAL BUILDING: . ,, .
A) CHECK WITH THE HEALTH DEPARTMENT IN REFERENCE TO SEPTIC SYSTEMS FOR SEWAGE DISPOSAL.
B) CHECK WITH CONSERVATION O01024ITTM IF THE LOT BORDERS ON ANY TYPE F WETLANDS.
EXAMPLES: STREAMS, FONDS, RIVERS, OCEAN, BAY, BOGS, MARSH, ETC.
C) CHECK'WITH PLANNING BOARD FOR LOT RELEASE.
COMMERCIAL BUILDING:
A) ENGINEERING DEPARTMENT-FOR PARKING AND,DRAINAGE REQUIREMENTS,TOPOGRAPHY SITE PLAN
}
B) CONSERVATION COMMITTEE-IF LOT BORDERS ANY TYPD OF WETLANDS.
C) PLANNING BOARD- TO SEE IF LOT COMPLIES WITH ZONINGBY-LAMS.
o) WARD OF HEALTH-FOR SEWAGE DISPOSAL REQUIREMENTS, HEALTH RELATED ACTIVITIES. :_
EXAMPLES: SAUNA BATHS, SWIMMING IDOLS, RESTAURANTS, ETC.
E) FIRE DEPARTMENT-FOR PROPERTY PROTECTION, PERSONAL 'SAFETY., (SPRINKLERS, SMOKE
DETECTORS). ,-
-UsVIEWID BY:
AIG DEPARTMENT: YES 'DOES NOT APPLY SIGNATURE 1,,_ a _roto, DATE 7 r: 80
CONd MM
N CITTEE: YES_DOES:NOT APPLY ✓ SIGNATURE t•; -i C ,r,A- DATE 7/1118o
- -1
'LANNIN BOARD: :YES—DOES NOT APPLY SIGNATURE••-- --`- _ DATE
OF HEALTH YES C/670ES NOT APPLY ` SIGNATURE DATE?A) P
FIRE DEPARTMENT: .. YES DOES NOT APPLY SIGNATURE DATE
COMMENTS: 4
Application to / c
Old Kings Highway Regional Historic District Committee
in the Town of Yarmouth for a
f CERTIFICATE OF APPROPRIATENESS
Application is hereby made, in triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,
Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs
accompanying this application for:,
/ CHECK CATEGORIES THAT APPLY:
1. Exterior Building Construction: d New Building
0 Addition 0 Alteration
Indicate type of building: ❑ House 0 Garage ❑ Commercial 0/Other ,75'drr (cAo'I
2. Exterior Painting: 0 U
3. Signs or Billboards: ❑ New sign 0 Existing sign 0 Repainting existing sign
4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other
(Please read other side for explanation and requirements).
TYPE OR PRINT LEGIBLY , 1 !, I--, • t .'" DATE - f- 70
ADDRESS OF PROPOSED WORK r i./ ,1-CPrur,r, /10sad /-4/2ASSESSORS MAP NO. Al.2'
OWNERg6-fr-1 Ir ' °' t ,,a/Lu/fnn /1. � A-
Oi7A/ < ASSESSORS LOT NO. '/6 ;"
/
HOME ADDRESS C.u /- c'c='ru.ci /// ✓�F.rr/„/ / (79A5P* TEL NOL f(02 -.37�a_
/ -
FULL NAMES AND ADDI4ESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public
street or way. (Attach additional sheet if necessary).
//',/4/7,,,-/ c,. ', c, 4r'n/�' - SO N.e-�-r7JrA° A/i Yi'7F It -1" /.n rr
--o "
.......7)7/JG/ n CrARR/t!- /"-SFr 2-r-NFF / /) ) QA A?/nn A2,,,,1 rD
AGENT OR CONTRACTOR Oei/ntr TEL- NO iCa .Y7‘42---
/,
ADDRESS cecf pre' a-S aLvL
DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done (see No. 8,other side), including
materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed
locations of newsigns. (Attach additional sheet,
_�iffr-necessary). I
woos( 1 00.rA `t— TrA!/en . `SFAC V4/It Ta/t ,�o,c real* �'�/�/�'
5to,+Ate_s.[ S1� =✓As/fMa�-n%
IA"&a �i 1/74
( Owner-COOtre[t0 L
Space below line for Committee use. /1-1 3" to frra76 C-v/.J 1 A OvC retivi)`'
Received by H.D.C.
7 . . u
Date K The Ortificate is hereby '/ A r Date _.
Time - - A...‘ .d _ I admit , c 'yro
Approved a IMPORTANT: If Certificate is approved, approval is subject to the -day appeal period
provided in the Act. ./a
Disapproved 0 Please return to: Yarmouth Historic District Committee
P.O. Box 124,Yarmouth Port,Mass. 02675